Average Medicaid Emergency Room Visit Payments in Madison Heights, MI: $135.11
Avg. Paid
$135.11
Range
$44.17 – $185.08
Total Claims
219,384
Providers
20
Typical Payment Range
Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.
Based on per-provider averages across all Medicaid claims in this category.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Madison Heights, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry Ford Health Macomb Oakland Hospital
27351 Dequindre Rd |
$184.75 | 78,220 | 74,510 |
|
Dan Michael Hebert
27351 Dequindre Rd |
$82.06 | 28,118 | 25,716 |
|
David Domino
27351 Dequindre Rd |
$185.08 | 17,020 | 15,408 |
|
Jeremy Lott
27351 Dequindre Rd |
$61.47 | 11,459 | 10,263 |
|
Alana Snyder
27351 Dequindre Rd |
$156.72 | 10,543 | 9,744 |
|
Annie Cacy
27351 Dequindre Rd |
$165.42 | 9,806 | 9,714 |
|
Joe Haddad
27351 Dequindre Rd |
$78.60 | 8,569 | 7,697 |
|
Brian Tran
27321 Dequindre Rd |
$66.45 | 8,263 | 6,812 |
|
Peter Girard Meisner
27351 Dequindre Rd |
$89.42 | 7,593 | 6,552 |
|
Gan Su
27351 Dequindre Rd |
$141.24 | 6,719 | 6,465 |
|
Bradley Evan Loiben
27351 Dequindre Rd |
$107.13 | 5,723 | 5,599 |
|
Joseph Gregory Protacio
27351 Dequindre Rd |
$65.51 | 5,643 | 5,587 |
|
Sergey Tsekhanov
27351 Dequindre Rd |
$64.43 | 4,357 | 3,547 |
|
Brandon William Eisinger
27351 Dequindre Rd |
$95.00 | 4,215 | 4,125 |
|
James Carnell Sibbett
27351 Dequindre Rd |
$44.17 | 3,880 | 3,492 |
|
David Ramsey Hanscom
27351 Dequindre Rd |
$133.30 | 3,723 | 3,521 |
|
Gino Shwkat Etta
27351 Dequindre Rd |
$85.41 | 2,583 | 2,523 |
|
Erica Ann Errigo
27351 Dequindre Rd |
$133.29 | 2,054 | 1,668 |
|
Charles Rodarmor
27351 Dequindre Rd |
$80.57 | 718 | 693 |
|
Kimberly F Heller
27351 Dequindre Rd |
$105.59 | 178 | 142 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99284 | ER visit high severity | $118.05 | 170,705,529 | 95,397 |
| 99283 | ER visit moderate severity | $106.85 | 157,926,994 | 92,923 |
| 99285 | ER visit high sev w/threat | $136.01 | 111,002,396 | 79,755 |
| 99282 | ER visit low severity | $104.38 | 24,203,945 | 35,900 |
| 99291 | Critical care first 30-74 min | $120.48 | 10,902,745 | 28,076 |
| 99281 | ER visit minor problem | $92.67 | 8,018,086 | 9,327 |
| 99292 | Critical care each addl 30 min | $72.51 | 273,485 | 1,267 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Madison Heights, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Madison Heights, MI is $135.11 per claim, based on 219,384 claims from 20 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Madison Heights, MI?
There are 20 Medicaid providers offering Emergency Room Visit related services in Madison Heights, MI according to public payment data.
What is the price range for Emergency Room Visit in Madison Heights, MI?
Medicaid reimbursement for Emergency Room Visit in Madison Heights, MI ranges from $44.17 to $185.08 per claim, with an average of $135.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Madison Heights, MI
Substance Abuse Treatment
Avg $13.78
753,940 claims
Blood Work & Lab Tests
Avg $2.94
216,659 claims
Office Visit
Avg $52.53
207,550 claims
Durable Medical Equipment (DME)
Avg $72.73
143,508 claims
Physical Therapy
Avg $23.05
116,116 claims
Home Health Visit
Avg $70.05
77,514 claims
Urinalysis & Urine Tests
Avg $1.20
73,362 claims
Psychiatric Evaluation
Avg $62.20
73,223 claims